Intracerebral Hemorrhage: The 'Other' Stroke

J Mocco, MD, MS Professor and Vice Chair for Education Director, Cerebrovascular Center Residency Program Director Department of Neurological Surgery Mount Sinai Health System Intracerebral Hemorrhage: The 'Other' Stroke A recent patient of mine, 48-year-old "Joe" (not his real name), was eating with his family at an Italian restaurant. Suddenly, he stood up, cursed, and collapsed. They brought him to the hospital, and he could not talk, move, or do anything we asked him to do. It turned out that Joe had suffered the second-most common, but deadliest, form of stroke: intracerebral hemorrhage. When people hear "stroke," they typically think of the more prevalent type of brain attack, an ischemic stroke, where a clot lodges in an artery, blocking blood flow to the brain and starving it of oxygen. Intracerebral hemorrhage, on the other hand, is spontaneous bleeding in the brain, usually due to chronic high blood pressure or other conditions that weaken the walls of the brain's tiny blood vessels, causing them to rupture. As the blood pools, pressure builds up, compressing nearby brain tissue. Symptoms of Intracerebral Hemorrhage The brain is the "computer" that runs the body, controlling your ability to move, lift your arms, walk, and talk. When the part of your brain that corresponds to one of those functions is injured, either by bleeding or by a clot that starves it of oxygen, then that part stops working, and your body cannot function n...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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Publication date: Available online 14 December 2019Source: NeuroImageAuthor(s): Daan Christiaens, Jelle Veraart, Lucilio Cordero-Grande, Anthony N. Price, Jana Hutter, Joseph V. Hajnal, J-Donald TournierAbstractProbing microstructure with diffusion magnetic resonance imaging (dMRI) on a scale orders of magnitude below the imaging resolution relies on biophysical modelling of the signal response in the tissue. The vast majority of these biophysical models of diffusion in white matter assume that the measured dMRI signal is the sum of the signals emanating from each of the constituent compartments, each of which exhibits a d...
Source: NeuroImage - Category: Neuroscience Source Type: research
This study aims, first, to validate a retrospectively-gated implementation of the DENSE method for assessing brain tissue pulsations as a physiological marker, and second, to use the acquired measurements to explore intracranial volume dynamics. We acquired repeated measurements of cerebral volumetric strain in 8 healthy subjects, and internally validated these measurements by comparing them to spinal CSF stroke volumes obtained in the same scan session.Peak volumetric strain was found to be highly repeatable between scan sessions. First/second measured peak volumetric strains were: (6.4 ± 1.7)x10−4/(6.7...
Source: NeuroImage - Category: Neuroscience Source Type: research
Publication date: Available online 13 December 2019Source: Journal of Clinical NeuroscienceAuthor(s): Wenjie Wu, Sen Yang, Wenbo Diao, Donggui Wang, Yang Guo, Ming Yan, Fei LuoAbstractAn innovative concept was proposed to treat the lumbar degenerative diseases with full-endoscopic translaminar lumbar interbody fusion (Endo-TLIF) and the efficacy was evaluated. A total of 44 patients from January 2017 to October 2018 were enrolled, including 20 patients undergoing full-endoscopic TLIF and 24 patients undergoing standard open TLIF. The Visual Analogue Scale (VAS) score, Oswestry Dability Index (ODI) and intervertebral fusion...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
We report the case of a falcotentorial meningioma presenting only with binocular, horizontal diplopia in an otherwise healthy sixty-two-year old male. Review of the established literature highlights a lack of consensus regarding management of this extremely rare pineal region tumor. Complete surgical resection ultimately remains the ideal therapeutic option but surgical excision continues to bear serious risk of neurologic and ophthalmic morbidity, including hemianopia and cortical visual impairment. We advocate that a multidisciplinary approach focusing on patient values is critical in treatment of these uncommon lesions....
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Publication date: Available online 13 December 2019Source: Journal of Clinical NeuroscienceAuthor(s): Shoko Hara, Yoji Tanaka, Yasuhiro Ueda, Daisu Abe, Shihori Hayashi, Motoki Inaji, Taketoshi Maehara, Kenji Ishii, Tadashi NariaiAbstractIt is unclear whether the visual assessment of noninvasive arterial spin labeling magnetic resonance imaging (ASL) can identify instances of hemodynamic compromise including an elevated oxygen extraction fraction (OEF) measured by 15O-gas positron emission tomography (PET). Here we evaluated the relationship between a four-point visual assessment system referred to as 'ASL scores' using AS...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
CONCLUSIONS: Absolok® clips are a valid alternative to Hem-o-Lok® clips to secure blood vessels at the level of tumor bed and to perform a sliding-clip renorrhaphy in patients who underwent open or robot-assisted partial nephrectomy. PMID: 31833724 [PubMed - as supplied by publisher]
Source: Minerva Urologica e Nefrologica - Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research
Publication date: January 2020Source: The Annals of Thoracic Surgery, Volume 109, Issue 1Author(s): Xiaojie Liu, Hushan Ao
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
This report describes a case in which both these anomalies coexisted in an infant who underwent a successful Ross-Konno operation.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionsOccult nodal disease was frequently identified in peripheral N1 stations (11-13) in patients with small (≤2 cm) clinical N0 NSCLC. Hilar lymphadenectomy is essential for accurate staging in the management of patients with small clinical N0 NSCLC.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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